- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist (I/ II /Sr.). This is a full-time position and offers a hybrid schedule ... after training. The Regional Claims Specialist will be responsible for contacting...WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II -… more
- Baylor Scott & White Health (Dallas, TX)
- …Under the direct supervision of the Safe Choice Claims Manager the Safe Choice Claims Specialist II is responsible for the review, study and processing ... while protecting the assets of the organization. + The Claims Specialist II primary duty...improvements in processes to increase proficiency and supervise effective resolution of all claim inquiries. + Responsible for the… more
- Alaska Airlines (Seatac, WA)
- …love, we want to hear from you. **Role Summary** The Risk Management Specialist II is responsible for developing solutions to resolve lower-level liability ... claims across Alaska Air Group (AAG) and its subsidiaries...years of experience in operations and customer service conflict resolution , or related field. + Bachelor's degree with a… more
- Penn Medicine (Philadelphia, PA)
- …Civic Center Blvd **Hours:** Per Departmental Needs - Full Time Summary: + The Accounts Resolution Specialist II reports to the Supervisor of Billing; this ... individual specializes in the resolution of patient accounts transferred from the PBO. This...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- AIG (Atlanta, GA)
- …service with empathy and efficiency. How you will create an impact The Casualty Claims Specialist II is responsible for investigating, evaluating, and ... help customers to manage risk. Join us as a Claims Analyst II to play your part...up to complete timely and accurate reserves and claim resolution . Key Responsibilities include: + A nalyzing coverage; evaluating… more
- Johns Hopkins University (Middle River, MD)
- …processing, or similar medical specialty environment. Classified Title: AR Revenue Cycle Specialist II Job Posting Title (Working Title): AR Revenue Cycle ... will be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using... Specialist II Role/Level/Range: ATO 40/E/02/OD Starting Salary… more
- Johns Hopkins University (Middle River, MD)
- …similar medical specialty environment required. Classified Title: AR Revenue Cycle Specialist II Role/Level/Range: ATO 40/E/02/OD Starting Salary Range: $16.20 ... to be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using...claim's submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of claims… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- Community Health Systems (Franklin, TN)
- …research to facilitate claim resolution and maximize collections. The Billing Specialist II also supports team training, assists with audits, and ensures ... **Job Summary** The Remote Billing Specialist II - Workers Comp is...companies, payers, and patients regarding billing inquiries and claim resolution . + Reviews and processes insurance claims ,… more
- Methodist Health System (Dallas, TX)
- …resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...the ability to identify patterns, trends, and discrepancies in claims and financial data. - Effective communication and interpersonal… more
- MyFlorida (Tallahassee, FL)
- REGULATORY SPECIALIST II - 79011332 Date: Feb 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 847456 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST II - 79011332 Pay Plan: Career Service Position Number:… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Procedural Billing Specialist II - Oncology & Therapeutic Infusion Centers Billing- Corporate 42nd Street Full-Time Days** Responsible for ... and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or Revenue… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- Needham Bank (Needham, MA)
- …will be in accordance with regulatory compliance guidelines. The Customer Care Center Specialist II will identify the customer's service and banking needs and ... service and banking solutions, education and information and issue resolution to our Needham Bank customers and communities via...the Customer Care Center channel. A Customer Care Center Specialist will advise, advocate and deliver on the service… more
- Community Health Systems (Antioch, TN)
- Processing of claims , via electronic claims management system, by reviewing identified errors or rejections and resolving these issues appropriately. Also ... responsible for completing requests for rebilling of denied claims . **Essential Functions** + Reviews the system account display of demographics, billing, balance,… more
- UIC Government Services and the Bowhead Family of Companies (Quantico, VA)
- **Overview** SERVICE DESK SPECIALIST | TIER II (MIELS): Bowhead is seeking Service Desk Specialists to support a customer in Stafford, VA. Support for the ... 24/7 support, including nights, weekends, and holidays, with timely issue resolution . + Assist in maintaining and administering Windows servers, workstations,… more
- Cedars-Sinai (CA)
- …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... that fuels innovation. **Req ID** : 6229 **Working Title** : Revenue Cycle Specialist II (Remote) **Department** : CSRC PB - Group **Business Entity**… more
- AIG (Atlanta, GA)
- …investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned ... cases to a timely, proper resolution . This requires accurate and thorough documentation, as well...upon the applicable law, coverage and supporting evidence. Assigned claims typically consists of medium to moderate complex litigated… more
- Cedars-Sinai (Los Angeles, CA)
- …our care the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : ... performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating… more